[Ohioaap-practicemanagers] OH Medicaid COVID vaccine counseling payment problem

[Michael Chamberlin]

Is anyone else using this code?


Michael Chamberlin, M.D., FAAP
Pediatric Assoc. of Mt Carmel
4371 Ferguson Dr
Cincinnati, OH  45230
513-752-3650
513-752-3387 (fax)



On Thu, Jun 23, 2022 at 2:19 PM Michael Chamberlin <
mikechamberlinsoapm at gmail.com> wrote:

> When we counsel patients about COVID vaccine and the vaccine is not given
> at that visit, we have been billing for this counseling since early April
> as per the release from Ohio Medicaid. However, they are not paying this.
> We only have Caresource patients.
>
> We bill the 99401 cpt code with a Z71.85 (encounter for immunization
> safety counseling) and Z28.82 (immunization not carried out due to
> caregiver refusal).   Is anyone getting paid for this?  Which managed
> Medicaid?  Are you using different codes than we are?
>
> Thanks for your help with this,
>
> Mike
>
> Michael Chamberlin, M.D., FAAP
> Pediatric Assoc. of Mt Carmel
> 4371 Ferguson Dr
> Cincinnati, OH  45230
> 513-752-3650
> 513-752-3387 (fax)
>
>
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